Silvia Ortiz-León1, Aurora Leonila Jaimes-Medrano1, Silvia Aracely Tafoya-Ramos2, María Luisa Mujica-Amaya3, Víctor Hugo Olmedo-Canchola4, José Antonio Carrasco-Rojas5. 1. Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico DF, Mexico. 2. Coordinación en Desarrollo Educativo. División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico DF, Mexico. dra_silviaortiz@yahoo.com.mx. 3. Coordinación en Desarrollo Educativo. División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico DF, Mexico. 4. Subcomités Académicos de la División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico DF, Mexico. 5. División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico DF, Mexico.
Abstract
BACKGROUND: Harassment and abuse are forms of persistent intimidating behavior against a person and in medical practice those are accepted and justified at all levels of education and are considered specific to the hospital culture. OBJECTIVE: To identify the frequency of harassment and some factors related to its existence on residents of medical specialties in Mexico City. METHOD: A linear study was carried out in which a total of 260 interns pertaining to the following medical specialties: surgery, internal medicine, gynecology and obstetrics, and pediatrics participated. The study took place in three general hospitals in Mexico City. Two evaluations with Leymann Inventory of Psychological-Terrorization (LIPT-60) with 6 months between assessments were performed. RESULTS: Comparison between the first and second evaluations did not show differences in any of the harassment measurements obtained. Of all residents, 265 (98.5%) claimed to have experienced some type of harassing behavior against them at least once during the previous 6 months, with a 1.4 (±0.5) average intensity, showing no difference between men and women. Women received a higher grade than men on the communication block scale. Harassing behaviors that obtained the highest average values were evident intimidation and occupational discredit. Among all harassment measurements, the specialty of gynecology and obstetrics showed the highest grade. The hospital influenced the reported harassment. CONCLUSIONS: The most common harassing behaviors were occupational discredit, verbal threats, shouting, and mockery. The high frequency of harassment that medical residents experience during their hospital training deserves our attention.
BACKGROUND: Harassment and abuse are forms of persistent intimidating behavior against a person and in medical practice those are accepted and justified at all levels of education and are considered specific to the hospital culture. OBJECTIVE: To identify the frequency of harassment and some factors related to its existence on residents of medical specialties in Mexico City. METHOD: A linear study was carried out in which a total of 260 interns pertaining to the following medical specialties: surgery, internal medicine, gynecology and obstetrics, and pediatrics participated. The study took place in three general hospitals in Mexico City. Two evaluations with Leymann Inventory of Psychological-Terrorization (LIPT-60) with 6 months between assessments were performed. RESULTS: Comparison between the first and second evaluations did not show differences in any of the harassment measurements obtained. Of all residents, 265 (98.5%) claimed to have experienced some type of harassing behavior against them at least once during the previous 6 months, with a 1.4 (±0.5) average intensity, showing no difference between men and women. Women received a higher grade than men on the communication block scale. Harassing behaviors that obtained the highest average values were evident intimidation and occupational discredit. Among all harassment measurements, the specialty of gynecology and obstetrics showed the highest grade. The hospital influenced the reported harassment. CONCLUSIONS: The most common harassing behaviors were occupational discredit, verbal threats, shouting, and mockery. The high frequency of harassment that medical residents experience during their hospital training deserves our attention.
Entities:
Keywords:
Bullying; especialidades médicas; harassment; hostigamiento; maltrato; medical residency; medical specialties; médicos residentes